Using Minoxidil Once a Day? – Hair Loss Information – Balding Blog

Hi Dr.

I have been on Propecia for six months with good results and have been using minoxidil as well for the crown and that has seemed to improve thing even further.

My question is that I find I can only practically use the minoxidil once in the evening. To put it on in the morning is just too difficult. Is there a negative to only using Minoxidil
once a day instead of twice or is it just a matter of it not being as effective?

Thanks

Block Quote

The best response for minoxidil has been shown to be twice a day use. You can try the Rogaine Foam and see if that works easier for you in the morning. Some people use it as a styling agent.

Managing Hair Loss By Yourself – Not a Good Idea – Hair Loss Information – Balding Blog

Hi Doctor

I’m 21 and my experiences with meds that lower DHT like Propecia for a year, and Dutasteride for 5 months have been bad, very bad, in fact it didn’t just not work for me, it made matters worse. like my body was rejecting it. Propecia made things worse, and Dut made things a LOT worse…seems the higher the anti DHT the worst it got which is the opposite affect. Im not gonna complain and say lifes not fair! but I am curious as to what went wrong… if 9/10 can maintain their hair with propecia, what goes wrong with that 1/10. what are the possibilities. just very curious. Thanks a lot in advance!

Block Quote

The blocking effect of finasteride on DHT formation is only one factor that impacts hair loss; your genetics are another and they are completely independent from each other as separate variables. At your age, if you were going to be very bald by the time you reach your mid-20s, then your genetics are far more powerful in producing hair loss than finasteride (or dutasteride) is for preventing it. I am fairly sure that the drugs are slowing down the process, but when the impact is not dramatic, then the user often thinks that the drug treatment is a failure.

If you got your hair measured and mapped for miniaturization, the impact of these drugs could be established and followed over time. You need a Master Plan for your hair loss management and should find a good, caring, competent doctor who will establish this with you. It sounds like you are trying to be your own doctor and are not being scientific about managing your hair loss.

Hair Loss InformationAngry Reader Points Out – Lamisil Does Cause Hair Loss! – Hair Loss Information – Balding Blog

A Google search brought me to the question and your answer from a man who was experiencing dramatic hair loss following a two month usage of Lamasil. Your reply discounted Lamasil from being a cause, citing the drug’s use for infections that in and of the condition cause hair loss.

I am sorry to tell you I find your reply specious. Look, the drug insert slip detailing the side effects CLEARLY states that hair loss is a DIRECT side effect of terbinafine hydrochloride usage. You can bet the drug company would give much not to have to include it, or any other in a list of side effects, but after 33 years of patient use, I’m fairly certain that it’s had substantiation. Hair loss is a real unpleasant and tremendously visable side effect, and tons of money is spent by men and women to counter baldness. No drug company wants to have to tell users “this could happen to you”.

Now, I am a 45 year old woman prescribed and dutifully taking on schedule terbinafine hydrochloride aka Lamasil. I have had HUGE, by the handfuls, hair loss. I am in perfect health, substantiated by my age 45 health screening, except for normal stress, the effects of aging, and toenail fungus.

Please note: I received the prescription of Lamasil for TOENAIL fungus, not fingernail fungus, not ringworm or anything else that would cause hair loss, and hair loss is NOT a result of toenail fungus, doctor. So, when you post a sincere and concerned question (which unsurprisingly you did NOT answer) with a reply disdaining and discounting the legitimacy of the issue with an answer that supports an obvious agenda on your part, you discredit yourself and your profession.

AND I still need to know if MY hair will regrow. That guy was almost certainly loosing his hair from the Lamasil. Drugs are special, doctor, and many are needful, but those side effects ARE real.

Block Quote

LamisilMany drugs can cause hair loss, but my position has always been to explore other, more common causes of hair loss before blaming the drug. More importantly you need to discuss starting or stopping any medication with your physician.

Lamisil is often used in the treatment of fungal diseases of the skin, such as ringworm or toe fungus. If left untreated, some fungal diseases of the scalp by itself can also cause hair loss. I stand corrected with your reference to the drug insert warning of hair loss as a complication, but many times, just because a person is on a drug that has hair loss as a known side effect, it does not mean that it is THE cause of the hair loss. Diagnosis is just not that simple.

If you believe the drug you are taking is causing your hair loss, please address these issues with the prescribing doctor. There’s a disclaimer at the bottom of every page of this site that can be summarized to say, “This site is intended to educate the public on hair loss topics and should not be used for the purpose of medical diagnosis or treatment recommendation.” Please remember that I am not your doctor.

Does Hair Loss Take a Vacation? – Hair Loss Information – Balding Blog

hey doc, ive asked you questions before and your answers are very helpful for me. i was wondering if hair loss ever took ‘breaks’. For example have it progress to a certain stage and stabilize for a few years then continue where it left off. how big a role does stress play in mpb as well, i feel like i’m losing so much more hair during my school semesters than during the summer months.

Block Quote

CalendarNot exactly. Unfortunately, hair loss doesn’t take a vacation for veterans on Veterans Day, for fathers on Father’s Day, nor for fools on April Fool’s Day…

In my practice, I find that hair loss sometimes occurs in spurts and is not necessarily a constant phenomenon. Stress can precipitate genetic balding, so it would not be a hard to reach a conclusion that the stressful times at school are causing you to lose hair. See a hair specialist or a dermatologist to discuss this phenomenon more in person.

In the News – Controversy About Actors with Hair Playing Bald Roles? – Hair Loss Information – Balding Blog

HitmanClearly, some people know how to exploit balding in the Hollywood setting. The San Francisco Chronicle looks into actors that are shaving their heads for movie roles, instead of going with the naturally bald actors. From the article:

Timothy Olyphant plays Agent 47, the bald assassin in the new action movie “Hitman.” The controversy? Why have the well-coiffed Olyphant shave his head when there are so many bald actors who are perfect for the role?

Block Quote

Full article — Hairless fakers, take note. Bald is in charge.

Treating DUPA with Dutasteride? – Hair Loss Information – Balding Blog

has there ever been a case in which somebody with DUPA (Diffuse Unpatterned Alopecia) has responded to dutasteride after trying propecia (finasteride)?

Block Quote

I have very little experience with Avodart (dutasteride), but I have seen some patients with Diffuse Unpatterned Alopecia (DUPA) respond somewhat to finasteride. In theory, dutasteride should be better than finasteride, but clearly the side effects are substantial with dutasteride (decreased sperm count, impotence, decreased libido). Unfortunately, we do not know a great deal about DUPA and what causes it.

T-Gel Shampoo and Hair Loss – Hair Loss Information – Balding Blog

I have a question about coal tar shampoo (neutrogena t/gel) and hair loss. I have used t/gel extra strength twice a week for years for my scalp condition (either seborrheic dermatitis or psoriasis, i don’t know) because it is the only one that completely rids the scales. I never responded well to Nizoral or other prescription anti-fungals. Recently, I came across a lawsuit online where a woman was suing Neutrogena for hair loss allegedly caused by T/gel. This hair loss was accompanied by a severe allergic reaction. Knowing that I am not allergic to the shampoo, do you think it is ok to use it without causing more hair loss? By the way, I am aware that they used T/gel in the Propecia trials, so Merck must not be too concerned about its potential to cause hair loss. Thanks for your help!

Block Quote

What are you asking me? It seems you already know the answer, by the way you posed the question. If T-Gel works for you, great! If you don’t have an allergic reaction, even better!

If you are losing hair, you should see a doctor for a diagnosis including a miniaturization study. If you have psoriasis, then a dermatologist will be the best referral for you.

Inderal and Hair Loss – Hair Loss Information – Balding Blog

I know Inderal can cause hair loss, but I only use it when I perform on stage. So I go weeks without using it, then maybe have 20mg at a time for performances. Would this limited usage still cause hair loss? Thanks

Block Quote

I doubt that the schedule in which you are using Inderal (propranolol) would cause hair loss, but you should speak more with your prescribing doctor about your concerns.

One Year of Propecia Use (with Photos) – Hair Loss Information – Balding Blog

This is not an atypical response to Propecia on a man in his mid-thirties with a great deal of miniaturization throughout the top and crown. Click and enlarge the photografts and you can easily see the change in miniaturization on a macroscopic view.

The photo on the left is before taking Propecia; the photo on the right is after 13 months of daily Propecia (finasteride 1mg) use. Click the photos to enlarge.

 

My Hair Is Very Fine – I Had 2 Procedures, Should I Try Laser or DermMatch? – Hair Loss Information – Balding Blog

Dr. Rassman, I have completed 2 NHI transplant procedures. However, because of my very fine hair, my scalp is visible, especially under bright overhead lighting. I am considering a third procedure, but would like to first try the X5 HairLaser or DermMatch. Any thoughts? Thanks

Block Quote

A hair transplant procedure has limitations, in that it simply can not restore all the hair that was lost, since there is a limited supply and usually a relatively large area to cover. Individuals with very fine hair often have see-through coverage, even with normal (birth) densities. As hair transplants rarely produce over 50% of the original density in one or two procedures, I am never surprised when there is a see-through look and I tell my fine haired patients that this is what they must expect. There has to be realistic expectations and if the desire is to increase the fullness and let less light through (making it less see-through), then more grafts are necessary if the supply of good donor hair lasts and the use fits into a good Master Plan.

If you had surgery with NHI, please give my office a call (800-NEW-HAIR) and I will review your file and would be happy to discuss your situation. We offer free in-office laser treatments for all of our patients, but I can not tell if it works yet. Before any lasers or other alternative treatments, I would strongly recommend finasteride (Propecia / Proscar) as an option if you are not using it already.

While products such as DermMatch and Toppik are great cosmetic adjuncts to disguising thinning, it should be noted that these products do not grow hair.